Regional youth in Victoria, with similar levels of metabolic control and diabetes knowledge as their urban counterparts, have a markedly lower quality of life, implying a negative synergy between diabetes and the demands of regional lifestyles.

Survival in cystic fibrosis has improved significantly in the last 30 years, with major therapeutic goals of delaying the progressive loss of pulmonary function and maintaining normal growth. Dual-energy X-ray absorptiometry (DEXA) was performed in children with cystic fibrosis (CF) to assess both bone mineral density and body composition. We hypothesised that there would be an association between body composition and pulmonary function in children with CF. Fifty subjects with CF (28 males), mean age 12.7 years, participated in the study. Body composition was determined by DEXA. Body mass index (BMI) was calculated from the ratio of weight/height2 (kg/m2). Lung function was assessed by spirometry. Most patients (78%) had mild lung disease. The mean forced expired volume in 1 sec percent predicted (FEV1% predicted) for the 50 patients was 79.2% (range, 24-117%). There was a strong association between FEV1% predicted and BMI (R=0.59, P=0.0001). Fat-free mass had positive association with pulmonary function tests (R=0.30, P=0.03). Although fat mass showed a positive correlation with pulmonary function, this association did not reach statistical significance. In our group of children with CF and mild lung disease, pulmonary function was more strongly associated with BMI than with fat and fat-free mass.

Author discusses the role of the Australian Institute of Criminology in monitoring deaths in people in custody in Australian prisons on a national basis. She provides an overview of deaths in prison custody between 1980 and 1998, noting a shift in the cause of death of Indigenous prisoners from natural causes to self-infliction.

Public opinion in Australia has been divided on the question of whether private prisons are welcome and one of the issues in dispute has been the question of whether or not private prisons are associated with proportionately more or fewer deaths of prisoners, particularly suicides, than public prisons. The available evidence is examined, and when the number of deaths, or suicides, per 1000 prisoner years served for all private and public prisons are calculated it is found that the rate for all deaths is significantly lower in private prisons at the 0.05 level of confidence. However, the difference in the suicide rates is not statistically significant.The lower overall death rate is particularly surprising as private prisons in Australia hold proportionately more unconvicted remandees,who are at higher risk, than public prisons. A close examination of the data for three relatively new remand and reception prisons, two private and one public, shows that all have much higher rates for both all deaths and for suicides than the national averages. This is an updated and expanded version of a paper by the same authors published by the Australian Institute of Criminology in June 1999. That paper was admitted into evidence at a coronial inquiry that was held into five deaths that occurred in the Port Phillip Prison in Victoria. Address for correspondence: D. Biles, 25 Kidston Cres, Curtin ACT 2605, Australia.

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